모성간호학실습_vsim case2_Olivia Jones

목차

1. 1단계 : 대상자 상황 요약
2. 2단계 : Pre-Quiz
3. 4단계 : Post Quiz

본문내용

<1단계 : 대상자 상황 요약>
Olivia Jones is a 23-year-old African-American female, G1P0 at 36 weeks of gestation. She has been diagnosed with severe preeclampsia and is admitted to the labor and delivery unit for assessment and surveillance.
Olivia Jones은 아프리카계 미국인 23세 여성으로, 36주에 G1P0이다. 그녀는 경증자간전증으로 진단받았고 사정과 검사를 위해 산과에 입원하였다.

Pregnancy has been unremarkable until routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission.
임신은 혈압이 146/92 mm Hg, 단백뇨, 가벼운 혈압증 등으로 30주에 정기적인 산전 방문 때까지 두드러지지 않았다. 그녀는 오늘 산전 방문 전까지 집에서 병상을 쉬며 증상이 증가해 입원했다.

She has gained 3 pounds since prenatal visit 1 week ago. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial puffiness.
그녀는 일주일 전 산전 방문 이후 몸무게가 3파운드 늘었다. 단백질 딥스틱은 +4, 케톤 음성, 포도당 음성, +2 의존성 부종, 안면 붓기 등이다.

Ms. Jones is complaining of a headache that is not resolved with acetaminophen. She presents with nausea and fatigue and complaining of epigastric pain, visual changes, and chest tightness. The fetus is active; however, patient states that it is a bit quieter than normal. There is a possibility of premature rupture of membranes. An IV with lactated Ringer's is running at 125 mL/hr. Labs were obtained.

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